Resection Prosthesis Max Partial Implant - CDT Code Guide
Overview
CDT Code D5944 pertains to a resection prosthesis specifically designed for the maxillary arch, supported by implants or abutments. This type of prosthesis is removable and is used in cases where a patient has a partially edentulous maxillary arch, meaning some natural teeth are missing. The procedure involves creating a custom-fit prosthesis that attaches to existing implants, providing stability and improved function for the patient. Typically, this procedure is considered when traditional dentures are not feasible due to the lack of sufficient natural teeth for support or when enhanced stability is desired. Clinically, this prosthesis helps restore oral function, aesthetics, and patient comfort.
When to Use This Code
- Patient has a partially edentulous maxillary arch with existing implants.
- Traditional dentures are not suitable due to insufficient natural teeth for support.
- Enhanced stability and function are required beyond what conventional dentures can provide.
- Patient desires a removable prosthesis that offers improved aesthetics and comfort.
- There is a need to replace a previously failed prosthesis with an implant-supported option.
Documentation Requirements
- Detailed patient history and diagnosis supporting the need for a resection prosthesis.
- Clinical notes indicating the presence of implants or abutments in the maxillary arch.
- Documentation of the patient's partially edentulous status.
- Treatment plan outlining the fabrication and fitting of the prosthesis.
- Consent forms signed by the patient acknowledging the procedure and its benefits.
- Records of any previous prosthetic treatments and their outcomes.
Billing Considerations
When billing for D5944, ensure that the procedure is documented as medically necessary. Frequency limitations may apply, so check with the patient's insurance provider for coverage details. Common modifiers may include those indicating the specific quadrant or arch involved. It's important to verify whether the patient's insurance plan covers implant-supported prostheses, as this can vary significantly.
Related CDT Codes
Frequently Asked Questions
A resection prosthesis is specifically designed to attach to implants or abutments, providing enhanced stability and function compared to regular dentures.
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